Individual provider · Type 1 NPI
Ariana Lynne Shane, MD
General Practice Physician · Detroit, MI
NPI number
1336702786
Active
Practice location
16815 Patton St
Detroit, MI 48219-3908
Other practice locations
- 4120 John R Street, Harper Professional Building Suite 615, Detroit, MI 48201-2018 · (313) 745-4195
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| General Practice Physician Primary | 208D00000X | 4301507735 (MI) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1336702786
Ariana Lynne Shane, MD's National Provider Identifier is 1336702786, issued on Apr 20, 2019. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Detroit, MI. The record was last updated on Nov 14, 2022.